Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 94776 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Ped Home Apnea Rec Downld, Pediatric Home Apnea Monitoring Event Recording Including Respiratory Rate Pattern And Heart Rate Per 30 Day Period Of Time Monitoring Download Of Information Receipt Of Transmission S And Analyses By Computer Only
| Key Fact | Detail |
|---|---|
| Service Type | Medicine Services and Procedures Pulmonary Procedures |
| Common Place of Service | 11 - Office |
| Common Modifiers | 52 - Reduced Services |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 94776 |
| Medicaid Fee Schedule | $87.76 median of the 5 states in the free preview · View Medicaid rates for 94776 |
National average reimbursement for CPT 94776 by major payers:
$299.42
$301.22
$244.08
$363.99
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 94776.
CPT 94776
5 of 25 sample ratesHigher to lower in this preview
Andrew Knox
St Vincent Hospital-Hospital Sisters-Third Order Of St Francis
$605.64Published rateKatherine Johnson
Loyola University Medical Center
$422.11Published rateDavid Banayan
$382.07Published rateDeborah Couch
Loyola University Medical Center
$356.11Published rateBikram Sharma
Saint Anthony Health Affiliates
$275.05Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 94776 vs. Other Pulmonary Procedures Codes
The CPT 94776 code is part of the Medicine Services and Procedures services used for Pulmonary Procedures. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 94776 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 94774-CPT | Moderate | Pediatric Home Apnea Monitoring Event Recording Including Respiratory Rate Pattern And Heart Rate Per 30-Day Period Of Time; Includes Monitor Attachment Download Of Data Review Interpretation And Preparation Of A Report By A Physician Or Other Qualified Health Care Professional (Revised 01/01/13) |
| 94775-CPT | Low | Ped Home Apnea Mntr Att Only, Pediatric Home Apnea Monitoring Event Recording Including Respiratory Rate Pattern And Heart Rate Per 30-Day Period Of Time; Monitor Attachment Only (Includes Hook-Up Initiation Of Recording And Disconnection) |
| 94776-CPT | Moderate | Ped Home Apnea Rec Downld, Pediatric Home Apnea Monitoring Event Recording Including Respiratory Rate Pattern And Heart Rate Per 30 Day Period Of Time Monitoring Download Of Information Receipt Of Transmission S And Analyses By Computer Only |
| 94777-CPT | Low | Pediatric Home Apnea Monitoring Event Recording Including Respiratory Rate Pattern And Heart Rateper Per 30-Day Period Of Time; Review Interpretation And Preparation Of Report Only By Aphysician Or Other Qualified Health Care Professional (Revised 01/01/13) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 94776. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 94776 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 94776) and we'll show you how you compare in 15 minutes or less.